N618 EXAM 1
McNeese State University NURS N618 exam 1 complete solution
guide Latest Update with complete solution
1.Types of prevention
a. Primary (possibly): As part of a community class,
student nurses are developing a class to teach
expectant parents the importance of having their child
properly secured in a child safety seat. During the class,
the students are going to have a safety officer examine
the car seats that the parents have installed in their
vehicles. This is an example of: Primary Prevention
b. Secondary: A multidisciplinary health care team
operates a program aimed at the prevention,
identification, and treatment of diabetes on a large
Indian reservation. Which of the following aspects of
the program would be most likely to be classified as
secondary prevention? Staffing a booth where
community residents who are attending a baseball
tournament can have their blood glucose levels
checked.
c. Tertiary: An occupational therapist conducts a group
therapy program called MindWorks with older adults
who have diagnoses of dementia and Alzheimer’s
disease. The goal of the group is to slow the cognitive
decline of clients by engaging them in regular,
organized mental activity such as reading maps and
solving puzzles. How would the program most likely be
characterized? Tertiary Prevention.
2) Natural history of disease: probably: The natural history
of a disease refers to the progression and projected
1
, N618 EXAM 1
outcome of the disease without medical intervention.
a. Ex: hepatitis C; careful screening of blood donations
and education of IV drug users can be used to prevent
transfer of the virus. Also, the development of vaccines
to prevent the spread of infectious diseases such as
polio and Hepatitis B have been motivated by
knowledge about the natural history of these diseases
and lack of effective intervention measures. Early
detection for breast cancer by doing self-examinations
and mammography increases the chance for a cure.
b. Possibly: the progression of a disease process in an
individual over time, in the absence of treatment
c. Can help determine disease outcome
3) Cellular components and their function: During a discussion
on cellular components and their function, a student asked
the instructor the purpose of messenger RNA (mRNA). Of
the following, which is the most accurate answer? Performs
an active role of protein synthesis, where mRNA molecules
direct the assembly of proteins on ribosomes to the
cytoplasm.
4) Cell cycle: The nurse is teaching a group of colleagues about
the cell division cycle as background to oncology nursing.
Which of the following statements is true of the cell cycle?
The two broad phases of the cell cycle are mitosis and
synthesis.
5) Types of blood cells
a. Possibly: RBC, WBC, Platelets
2
, N618 EXAM 1
b. Following a course of measles, a 5yo girl developed
scattering bruising over numerous body surfaces and
was diagnosed with immune thrombocytopenia
purpura (ITP). As part of her diagnostic workup,
blood work was performed. Which of the following
results is most likely to be considered unexpected by
the health care team? Increased thrombopoietin
levels.
c. A client with a diagnosis of hemolytic anemia has gone
to a community-based laboratory for follow-up blood
work. The lab technician confirms with the client that
hematocrit is one of the components of blood work.
The client replies, “I thought the point of the blood
work was to see how many red blood cells I have
today.” How could the technician best respond to the
client’s statement? “The hematocrit measures the mass
that your red blood cells account for in a quantity of
your blood”.
6) Cellular injury sequela: possibly: Which of the following
statements most accurately conveys an aspect of cell injury
due to impaired calcium homeostasis? Inured cells tend to
accumulate calcium.
a. Sequence of events that occurs when stresses exceed
ability of cells to adapt. Responses are initially
reversible but may progress to irreversible injury and
cell death.
b. Apoptosis controls tissue regeneration.
c. Cellular injury is caused by hypoxia and ATP
depletion, disruption of intracellular Ca+, free
radical formation.
d. HYPOXIA- is the most important cause of cell injury.
i. Endogenous causes of cellular injury: hypoxia,
immunologic rxn, genetic defects, aging
ii. Exogenous causes of cellular injury: trauma,
3
McNeese State University NURS N618 exam 1 complete solution
guide Latest Update with complete solution
1.Types of prevention
a. Primary (possibly): As part of a community class,
student nurses are developing a class to teach
expectant parents the importance of having their child
properly secured in a child safety seat. During the class,
the students are going to have a safety officer examine
the car seats that the parents have installed in their
vehicles. This is an example of: Primary Prevention
b. Secondary: A multidisciplinary health care team
operates a program aimed at the prevention,
identification, and treatment of diabetes on a large
Indian reservation. Which of the following aspects of
the program would be most likely to be classified as
secondary prevention? Staffing a booth where
community residents who are attending a baseball
tournament can have their blood glucose levels
checked.
c. Tertiary: An occupational therapist conducts a group
therapy program called MindWorks with older adults
who have diagnoses of dementia and Alzheimer’s
disease. The goal of the group is to slow the cognitive
decline of clients by engaging them in regular,
organized mental activity such as reading maps and
solving puzzles. How would the program most likely be
characterized? Tertiary Prevention.
2) Natural history of disease: probably: The natural history
of a disease refers to the progression and projected
1
, N618 EXAM 1
outcome of the disease without medical intervention.
a. Ex: hepatitis C; careful screening of blood donations
and education of IV drug users can be used to prevent
transfer of the virus. Also, the development of vaccines
to prevent the spread of infectious diseases such as
polio and Hepatitis B have been motivated by
knowledge about the natural history of these diseases
and lack of effective intervention measures. Early
detection for breast cancer by doing self-examinations
and mammography increases the chance for a cure.
b. Possibly: the progression of a disease process in an
individual over time, in the absence of treatment
c. Can help determine disease outcome
3) Cellular components and their function: During a discussion
on cellular components and their function, a student asked
the instructor the purpose of messenger RNA (mRNA). Of
the following, which is the most accurate answer? Performs
an active role of protein synthesis, where mRNA molecules
direct the assembly of proteins on ribosomes to the
cytoplasm.
4) Cell cycle: The nurse is teaching a group of colleagues about
the cell division cycle as background to oncology nursing.
Which of the following statements is true of the cell cycle?
The two broad phases of the cell cycle are mitosis and
synthesis.
5) Types of blood cells
a. Possibly: RBC, WBC, Platelets
2
, N618 EXAM 1
b. Following a course of measles, a 5yo girl developed
scattering bruising over numerous body surfaces and
was diagnosed with immune thrombocytopenia
purpura (ITP). As part of her diagnostic workup,
blood work was performed. Which of the following
results is most likely to be considered unexpected by
the health care team? Increased thrombopoietin
levels.
c. A client with a diagnosis of hemolytic anemia has gone
to a community-based laboratory for follow-up blood
work. The lab technician confirms with the client that
hematocrit is one of the components of blood work.
The client replies, “I thought the point of the blood
work was to see how many red blood cells I have
today.” How could the technician best respond to the
client’s statement? “The hematocrit measures the mass
that your red blood cells account for in a quantity of
your blood”.
6) Cellular injury sequela: possibly: Which of the following
statements most accurately conveys an aspect of cell injury
due to impaired calcium homeostasis? Inured cells tend to
accumulate calcium.
a. Sequence of events that occurs when stresses exceed
ability of cells to adapt. Responses are initially
reversible but may progress to irreversible injury and
cell death.
b. Apoptosis controls tissue regeneration.
c. Cellular injury is caused by hypoxia and ATP
depletion, disruption of intracellular Ca+, free
radical formation.
d. HYPOXIA- is the most important cause of cell injury.
i. Endogenous causes of cellular injury: hypoxia,
immunologic rxn, genetic defects, aging
ii. Exogenous causes of cellular injury: trauma,
3
